Mrs Jillian Alexandra Kubala, RD is a medicare enrolled "Dietitian, Registered" provider in Westhampton, New York. Her current practice location is
38 S Country Rd, Westhampton, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 871-9856.
Mrs Jillian Alexandra Kubala is licensed to practice in New York (license number 86058432) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457808222.
Healthcare Provider's Profile
Full Name | Mrs Jillian Alexandra Kubala |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 38 S Country Rd, Westhampton, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457808222
- Provider Enumeration Date: 09/08/2016
- Last Update Date: 09/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 2264714591
- Enrollment ID: I20170123001246
Medical Identifiers
Medical identifiers for Mrs Jillian Alexandra Kubala such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457808222 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 86058432 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jillian Alexandra Kubala is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jillian Alexandra Kubala, RD 38 S Country Rd, Westhampton, NY 11977-1413 Ph: (631) 871-9856 | Mrs Jillian Alexandra Kubala, RD 38 S Country Rd, Westhampton, NY 11977-1413 Ph: (631) 871-9856 |
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